Zhang Zun-Yi, Dong Ke-Shuai, Zhang Er-Lei, Huang Zhi-Yong, Chen Xiao-Ping, Dong Han-Hua
Research Laboratory and Hepatic Surgery Center, Department of Hepatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Medicine (Baltimore). 2018 Jun;97(25):e11174. doi: 10.1097/MD.0000000000011174.
Portal vein thrombosis is defined as any thrombosis that develops in the portal vein system. It is considered a very rare and extremely lethal complication of hepatopancreatobiliary surgery.
Acute portal vein thrombosis after hepatectomy in patients with hepatolithiasisis very rare. Acute portal vein thrombosis is considered as a dangerous complication after hepatectomy. It is easy to ignore the symptom of acute portal vein thrombosis. Once the appropriate time of treatment is past, it would lead to patients' death.
Acute portal vein thrombosis after hepatectomy in a patient with hepatolithiasis INTERVENTIONS:: We consider anticoagulation therapy and percutaneous transhepatic portal vein puncture and thrombectomy once the diagnosis of acute portal vein thrombosis is confirmed.
The patient's liver function continued to deteriorate, eventually resulting in death.
Acute portal vein thrombosis after hepatectomy is difficult to diagnose. The management of acute portal vein thrombosis remains controversial according to its severity, location or time of discovering.
门静脉血栓形成被定义为在门静脉系统中发生的任何血栓形成。它被认为是肝胰胆外科手术中一种非常罕见且极其致命的并发症。
肝内胆管结石患者肝切除术后发生急性门静脉血栓形成非常罕见。急性门静脉血栓形成被视为肝切除术后的一种危险并发症。急性门静脉血栓形成的症状很容易被忽视。一旦错过适当的治疗时机，就会导致患者死亡。
肝内胆管结石患者肝切除术后急性门静脉血栓形成
一旦确诊急性门静脉血栓形成，我们考虑进行抗凝治疗以及经皮肝门静脉穿刺和血栓切除术。
患者肝功能持续恶化，最终死亡。
肝切除术后急性门静脉血栓形成难以诊断。根据其严重程度、位置或发现时间，急性门静脉血栓形成的治疗仍存在争议。
